Manual de Atenção à Saúde da Criança Indígena Brasileira
Manual de Atenção à Saúde da Criança Indígena Brasileira
Manual de Atenção à Saúde da Criança Indígena Brasileira
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• a médio prazo: enriquecer alimentos, com vitamina A, <strong>de</strong> baixo custo, boa aceitação<br />
cultural, sabor a<strong>de</strong>quado após o enriquecimento e consumidos em pequenas quanti<strong>da</strong><strong>de</strong>s<br />
para evitar o risco <strong>de</strong> toxici<strong>da</strong><strong>de</strong>;<br />
• a curto prazo: distribuir, a ca<strong>da</strong> seis meses, suplementos <strong>de</strong> vitamina A na forma <strong>de</strong><br />
cápsulas gelatinosas <strong>de</strong> 200.000UI <strong>de</strong> vitamina A.<br />
Como tratar a hipovitaminose A?<br />
Em casos <strong>de</strong> <strong>de</strong>ficiência subclínica, 5.000 uni<strong>da</strong><strong>de</strong>s são suficientes. Quando há xeroftalmia,<br />
<strong>de</strong>vem ser administra<strong>da</strong>s 5.000UI/kg/dia durante cinco dias e, a partir <strong>da</strong>í, <strong>da</strong>r<br />
doses <strong>de</strong> manutenção <strong>de</strong> 25.000UI em soluções oleosas diariamente até que a criança<br />
tenha se recuperado.<br />
a) Referências bibliográficas<br />
1. Amaya, DBR. Latin American food sources of carotenoids. Arch Latinoam Nutr, 49(3<br />
suppl 1): 74-84, 1999.<br />
2. Araujo, RL; Araujo, MB; Sieiro, RO; Machado, RD; Leite, BV. Diagnosis of hypovitaminosis<br />
A and nutritional anemia status in the population of Vale do Jequitinhonha, Minas Gerais,<br />
Brazil. Arch Latinoam Nutr, 36(4): 642-53, 1986.<br />
3. Araujo, RL; Araujo, MB; Machado, RD; Braga, AA; Leite, BV; Oliveira, JR. Evaluation of<br />
a program to overcome vitamin A and iron <strong>de</strong>ficiencies in areas of poverty in Minas Gerais,<br />
Brazil. Arch Latinoam Nutr, 37(1): 9-22, 1987.<br />
4. Favaro, RM; <strong>de</strong> Souza, NV; Batistal, SM; Ferriani, MG; Desai, ID; Dutra <strong>de</strong> Oliveira, JE. Vitamin<br />
A status of young children in Southern Brazil. Am J Clin Nutr, 43(5): 852-8, 1986.<br />
5. Favaro, RM; <strong>de</strong> Oliveira, JED. Enrichment of the diet with synthetic and natural sources<br />
of provitamin A. Arch Latinoam Nutr, 49(3 Suppl 1): 34S-37S, 1999.<br />
6. Flores, H; Campos, F; Araujo, RC; Un<strong>de</strong>rwood, BA. Assessment of marginal vitamin A<br />
<strong>de</strong>ficiency in Brazilian children using the relative dose response procedure. Am J Clin Nutr,<br />
40(6): 1281-9, 1984.<br />
7. Lira, PI; Cartagena, HA; Romani, S <strong>de</strong> A; Torres, MA; Batista Filho, M. Nutritional status<br />
of children un<strong>de</strong>r 6, according to land tenure, in rural areas of the State of Pernambuco,<br />
Northeast of Brazil. Arch Latinoam Nutr, 35(2):247-57, 1985.<br />
8. Mariath, JG; Lima, MC; Santos, LM. Vitamin A Activity of buriti (Mauritia vinifera Mart)<br />
and its effectiveness in the treatment and prevention of xerophthalmia. Am J Clin Nutr,<br />
49(5): 849-53, 1989.<br />
9. Mora, JO; Dary, O. Vitamin A <strong>de</strong>ficiency and actions for its prevention and control in<br />
Latin America and the Caribbean, 1994. Bol Oficina Sanit Panam, 117(6): 519-28, 1994.<br />
<strong>Manual</strong> <strong>de</strong> <strong>Atenção</strong> <strong>à</strong> Saú<strong>de</strong> <strong>da</strong> <strong>Criança</strong> <strong>Indígena</strong> <strong>Brasileira</strong> – pág. 135